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NPI Code Detail

MEDICARE: LILIAN NYARUBA

MEDICARE: LILIAN NYARUBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1275468936
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILIAN NYARUBA
Provider Business Mailing Address
First Line : 1701 N GREEN VALLEY PKWY STE 9B
Second Line :
City : HENDERSON
State : NV
Zip : 89074-5991
Country : US
Telephone Number : 725-444-3803
Fax Number : 702-441-0356
Provider Business Practice Location Address
First Line : 1701 N GREEN VALLEY PKWY STE 9B
Second Line :
City : HENDERSON
State : NV
Zip : 89074-5991
Country : US
Telephone Number : 725-444-3803
Fax Number : 702-441-0356
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

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Directions to “ LILIAN NYARUBA ” Practice Location

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